Protective autoimmunity: regulation and prospects for vaccination after brain and spinal cord injuries

M Schwartz, J Kipnis - Trends in molecular medicine, 2001 - cell.com
Trends in molecular medicine, 2001cell.com
Neuronal degeneration after traumatic injury to the central nervous system (CNS) can be
reduced by active immunization or passive transfer of T cells against CNS-associated myelin
antigens. We propose that a protective autoimmunity is evoked by CNS insult when non-
immunological local protective mechanisms cannot adequately buffer the injury-induced
toxicity. The ability of a particular strain to develop a protective autoimmune response
appears to be inversely related to its susceptibility to autoimmune disease. We also propose …
Abstract
Neuronal degeneration after traumatic injury to the central nervous system (CNS) can be reduced by active immunization or passive transfer of T cells against CNS-associated myelin antigens. We propose that a protective autoimmunity is evoked by CNS insult when non-immunological local protective mechanisms cannot adequately buffer the injury-induced toxicity. The ability of a particular strain to develop a protective autoimmune response appears to be inversely related to its susceptibility to autoimmune disease. We also propose that vaccination with specific CNS-derived'safe' (non-pathogenic) peptides after traumatic CNS insult, and possibly at any stage of chronic neurodegenerative disease, can be used to boost the protective autoimmunity and thereby to reduce further injury-induced damage. Such therapeutic vaccination ensures that the augmented beneficial autoimmunity will be free of accompanying disease.
cell.com